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About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations...

Job Description Utilization Review RN - Remote. This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

Job Opportunity At Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

LanceSoft is seeking a travel nurse RN Ambulatory Surgery for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Ambulatory...

Telehealth Triage Nurse - RN Purpose: Triages or manages symptom-based encounters with a patient over the phone or video, utilizing evidence-based triage protocols. Decreases unnecessary visits to physicians, APP's, and the emergency room...

Job Opportunity At Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a...

Triage Nurse LPN (Part Time/Days) Job ID: 308165 Category: Nursing Work Type: PT 20+ HOURS Location: East Petersburg, PA, United States Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Harris Health System, Inc. is looking for a Nurse Clinician for their Hospital at Home program. This role involves providing high-quality acute care at home, coordinating patient enrollment, and engaging in quality improvement projects. Candidates...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: Clinical Education Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $40.86 - $63.33 / hour. Pay is dependent on applicant's...

Seeking a California Licensed UM Nurse for a full-time remote position, who will review prior authorization requests for medical necessity, apply CMS and Milliman Care Guidelines, and collaborate with providers to ensure high-quality care, working...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a...

Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...

Description Utilization Review RN - Remote. This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Research Nurse Healthy Brain Clinic in Long Beach is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The Clinic RN utilizes the nursing process by use of...

Clinical Record Reviewer - Full-Time Days (Remote) Manages and supports quality and performance improvement by assisting staff to implement strategies that identify, prioritize, measure, and improve key clinical processes and outcomes.

The START Center for Cancer Research ("START") is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by...

Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families,...

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